<div class="form">

<?php $form=$this->beginWidget('CActiveForm', array(
	'id'=>'kematianbayi-form',
	'enableAjaxValidation'=>false,
)); ?>

	<p class="note">Fields with <span class="required">*</span> are required.</p>

	<?php echo $form->errorSummary($model); ?>

	<div class="row">
		<?php echo $form->labelEx($model,'kmb_kec'); ?>
		<?php echo $form->textField($model,'kmb_kec'); ?>
		<?php echo $form->error($model,'kmb_kec'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'kmb_lahirmati'); ?>
		<?php echo $form->textField($model,'kmb_lahirmati'); ?>
		<?php echo $form->error($model,'kmb_lahirmati'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'kmb_asfiksia'); ?>
		<?php echo $form->textField($model,'kmb_asfiksia'); ?>
		<?php echo $form->error($model,'kmb_asfiksia'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'kmb_tn'); ?>
		<?php echo $form->textField($model,'kmb_tn'); ?>
		<?php echo $form->error($model,'kmb_tn'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'kmb_aspirasi'); ?>
		<?php echo $form->textField($model,'kmb_aspirasi'); ?>
		<?php echo $form->error($model,'kmb_aspirasi'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'kmb_bblr'); ?>
		<?php echo $form->textField($model,'kmb_bblr'); ?>
		<?php echo $form->error($model,'kmb_bblr'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'kmb_ispapneumonia'); ?>
		<?php echo $form->textField($model,'kmb_ispapneumonia'); ?>
		<?php echo $form->error($model,'kmb_ispapneumonia'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'kmb_lain'); ?>
		<?php echo $form->textField($model,'kmb_lain'); ?>
		<?php echo $form->error($model,'kmb_lain'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'kmb_jumlah'); ?>
		<?php echo $form->textField($model,'kmb_jumlah'); ?>
		<?php echo $form->error($model,'kmb_jumlah'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'kmb_tahun'); ?>
		<?php echo $form->textField($model,'kmb_tahun'); ?>
		<?php echo $form->error($model,'kmb_tahun'); ?>
	</div>

	<div class="row buttons">
		<?php echo CHtml::submitButton($model->isNewRecord ? 'Create' : 'Save'); ?>
	</div>

<?php $this->endWidget(); ?>

</div><!-- form -->